| NPI | 1568996437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301515297) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A185781) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 290817) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2026-06-05 |